EFTA00521295.pdf

Deutsche Bank Wealth Man-qr• rn Wire Confirmation The wire transfer request below has been transmitted successfully. The template created with the transfer request has been created successfully. The balances shown below are recorded at the time of the request. Schedule Information Confirmation: 1419501670 Approval status: 1 of 1 received Transmitted: 05/08/2018 01:13:29 PM (ET) Transmitted by: BELLAKLEIN Debit Information Template name: LSJE to Miroku. I Gusti Lanang Putra LSJE, LLC - DDA -'9295 - DBTCA Checking - $212,452.92 Account (Balance as of: 05/08/2018 01:02:49 PM (ET) Not a guarantee of available funds.) Wire type: USD international wire Security code: Send on date: 05/08/2018 Amount: 214.00 Currency: USD Recipient Information Bank ID type: SWIFT Bank ID: IBBKIDJAXXX Recipient account: (If appropriate enter the IBAN) 2195804133 Bank name: PT BANK MAYBANK INDONESIA TBK Bank address 1: JAKARTA Bank address 2: Bank address 3: Recipient name: I Gush Lanang Putra Suardana Recipient address 1: Baipah, Petang, Badung Recipient address 2: Bali Indonesia Recipient address 3: Reference 50% deposit for 2 chairs and one side table total order 6000000Rp purchased by Additional information for recipient: Karyna First Intermediary Information Bank ID type: Bank ID: Intermediary account (If appropriate enter the IBAN) Bank name: Bank address 1: Bank address 2: Bank address 3: EFTA00521295 Second Intermediary Information Bank ID type: Bank ID: Intermediary account (If appropriate enter the IBAN) Bank name: Bank address 1: Bank address 2: Bank address 3: Wire Initiator Information Wire initiator name: Bella Klein Wire initiator address 1: do HBRK Associates. Inc Wre initiator address 2: 575 Lexington Avenue,4th Floor Wire initiator address 3: New York, NY 10022 EFTA00521296